KEITH ANTHONY CLARK


Address: 11311 N Central Expy, Ste 211, Dallas, TX 75243-6707
Phone: 2143152959

KEITH ANTHONY CLARK (NPI# 1114453933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114453933
Entity Type Individual
Full Name KEITH ANTHONY CLARK
Practice Address 11311 N Central Expy
Ste 211
Dallas
TX 75243-6707
Mailing Address Po Box 273326
Fort Collins
CO 80527-3326
Practice Telephone 2143152959
Mailing Telephone 8669962772
Enumeration Date 2017-05-11
Last Update Date 2017-05-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MT111749 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KEITH CLARK

NPI Name Taxonomy Address Enumeration
1346739737 Keith Wayne Clark Physical Therapy Assistant 406 S Main St, Winnsboro, TX 75494-3226 2018-05-01
1902201809 Keith R Clark Counselor 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2014-11-04
1376811018 Keith Lyle Clark Counselor 1500 Franklin St, San Francisco, CA 94109-4523 2011-12-08
1730262684 Keith Lee Clark Dentist 1116 N Meadows Dr, Granbury, TX 76048-1717 2006-10-23
1437167616 Keith Terrill Clark Emergency Medicine 400 Broadway St, Cincinnati, OH 45202-3312 2006-08-04
1376506642 Keith Fredrick Clark Otolaryngology 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 2006-04-08

Office Location

Street Address 11311 N CENTRAL EXPY
STE 211
City DALLAS
State TX
Zip Code 75243-6707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558346163 Roberta S. Berger Psychologist 11311 N Central Expy, Suite 208, Dallas, TX 75243-6707 2005-12-07
1871578914 Murray J Berger Counselor 11311 N Central Expy, #208, Dallas, TX 75243-6707 2005-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558970830 Nnamdi Okorie Licensed Vocational Nurse [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 2020-07-23
1629627716 Mohammad Mehdi Imani Emadi Dentist 11970 N Central Expy # 430, Dallas, TX 75243 2019-09-10
1295221786 Cornerstonemd,pllc Obstetrics & Gynecology 12222 N Central Expy Ste 140, Dallas, TX 75243 2018-07-08
1033609292 Mother Earth Healthcare Services Inc Home Health 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 2018-05-14
1346742822 Chioma Ifeji Licensed Vocational Nurse 13317 Daystrom Court, Dallas, TX 75243 2018-03-01
1598282865 Kimberly Ann Whitney Social Worker 11520 N Central Expy Ste 254, Dallas, TX 75243 2017-08-27
1962934083 Dignity Private Care, LLC In Home Supportive Care 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 2017-03-29
1699214569 Vitalis Home Health LLC Home Health 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 2017-02-13
1881130946 Proniles Non-emergency Medical Transport (VAN) 12611 Hornbeam Dr, Dallas, TX 75243 2017-01-13
1194273664 Osman W Awdallah Non-emergency Medical Transport (VAN) 12611 Hornbeam Drive, Dallas, TX 75243 2016-09-14
Find all providers in zip 75243

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083215743 Stephanie S Bell Massage Therapist 5415 Parry Ave, Dallas, TX 75223-1856 2020-11-07
1225637846 Just Breathe Massage and Wellness LLC Massage Therapist 7200 N Stemmons Fwy Apt 908, Dallas, TX 75247-5032 2020-10-23
1679170658 Stephanie R Stigers Massage Therapist 3214 Nebraska Ave, Dallas, TX 75216-5328 2020-10-03
1841806650 Sasha Danielle Rogers Massage Therapist 4230 Lyndon B Johnson Fwy # 200n, Dallas, TX 75244-5806 2020-09-17
1194338939 Victoria Hill Massage Therapist 4594 W Kiest Blvd Apt 2111, Dallas, TX 75236-2643 2020-08-30
1295348191 Mia Walker Massage Therapist 1647 Bending Oaks Trl, Dallas, TX 75217-2625 2020-08-28
1568073690 Joshua Tharian Massage Therapist 13938 Peyton Dr, Apt 114, Dallas, TX 75240-3655 2020-08-12
1770193955 Tammie White Massage Therapist 15340 Dallas Pkwy Ste 2220, Dallas, TX 75248-4637 2020-08-03
1841830346 Nakeeta Shanee Smith Massage Therapist 7502 Campbell Rd., Suite 24, Dallas, TX 75248-1704 2020-01-13
1073155602 Njy International LLC Massage Therapist 2695 Villa Creek Dr Ste 205, Dallas, TX 75234-7329 2019-10-15
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75243

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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